| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
98,937 |
79,675 |
$5.39M |
| S0280 |
Medical home, initial plan |
11,274 |
7,065 |
$2.35M |
| G0470 |
Fqhc visit, mh estab pt |
15,187 |
8,329 |
$899K |
| 99213 |
|
59,619 |
50,822 |
$610K |
| G0466 |
Fqhc visit new patient |
5,910 |
5,888 |
$381K |
| 99214 |
|
25,628 |
22,673 |
$371K |
| 90834 |
|
10,727 |
6,008 |
$101K |
| 99392 |
|
1,854 |
1,852 |
$46K |
| 80305 |
|
12,777 |
8,359 |
$45K |
| 99393 |
|
1,552 |
1,552 |
$36K |
| J1050 |
Medroxyprogesterone acetate |
486 |
486 |
$35K |
| 99203 |
|
2,337 |
2,331 |
$30K |
| 99212 |
|
4,217 |
4,012 |
$29K |
| 99215 |
Prolong outpt/office vis |
1,231 |
1,189 |
$25K |
| 90471 |
|
7,194 |
7,147 |
$25K |
| 90832 |
|
3,308 |
2,659 |
$24K |
| 99394 |
|
1,149 |
1,148 |
$23K |
| 87880 |
|
5,606 |
5,452 |
$22K |
| 99391 |
|
1,300 |
1,272 |
$20K |
| 90472 |
|
3,221 |
3,214 |
$20K |
| 99202 |
|
1,482 |
1,476 |
$13K |
| 96372 |
|
4,165 |
3,873 |
$12K |
| 99204 |
|
679 |
676 |
$12K |
| 87426 |
|
1,727 |
1,695 |
$12K |
| 71046 |
|
1,860 |
1,793 |
$11K |
| 87804 |
|
2,498 |
2,449 |
$10K |
| 99000 |
|
953 |
921 |
$10K |
| 87428 |
|
602 |
596 |
$9K |
| 87635 |
|
670 |
657 |
$8K |
| 0012A |
|
192 |
192 |
$7K |
| 90686 |
|
2,860 |
2,851 |
$7K |
| 0011A |
|
201 |
201 |
$7K |
| 90791 |
|
322 |
321 |
$6K |
| 77067 |
|
234 |
233 |
$5K |
| 90673 |
|
115 |
115 |
$4K |
| 81025 |
|
1,996 |
1,954 |
$4K |
| 90715 |
|
760 |
759 |
$3K |
| 0064A |
|
99 |
99 |
$3K |
| 81003 |
|
5,116 |
4,931 |
$3K |
| 91322 |
|
47 |
47 |
$3K |
| 0124A |
|
91 |
91 |
$3K |
| 77063 |
|
400 |
396 |
$2K |
| 93000 |
|
796 |
783 |
$2K |
| 90677 |
|
368 |
368 |
$2K |
| 99396 |
|
122 |
121 |
$2K |
| 90480 |
|
53 |
53 |
$2K |
| 99395 |
|
75 |
75 |
$2K |
| 90651 |
|
589 |
589 |
$1K |
| 73630 |
|
205 |
196 |
$1K |
| 90474 |
|
405 |
404 |
$987.50 |
| 90620 |
|
113 |
113 |
$923.80 |
| 0071A |
|
31 |
30 |
$908.40 |
| 90670 |
|
853 |
852 |
$819.00 |
| 99381 |
|
26 |
26 |
$741.45 |
| 87807 |
|
325 |
322 |
$728.21 |
| 90837 |
|
26 |
24 |
$720.56 |
| 0072A |
|
16 |
16 |
$605.60 |
| 87420 |
|
222 |
220 |
$587.52 |
| 0001A |
|
16 |
16 |
$567.75 |
| 99382 |
|
19 |
19 |
$560.16 |
| 99383 |
|
15 |
15 |
$457.30 |
| 99211 |
|
46 |
46 |
$407.47 |
| 73610 |
|
51 |
49 |
$348.75 |
| 87651 |
|
42 |
42 |
$348.60 |
| 90656 |
|
156 |
156 |
$335.25 |
| 74019 |
|
84 |
79 |
$313.97 |
| J1885 |
Ketorolac tromethamine inj |
235 |
231 |
$267.32 |
| 72110 |
|
15 |
15 |
$228.24 |
| J2930 |
Methylprednisolone injection |
34 |
34 |
$165.24 |
| 90734 |
|
544 |
544 |
$128.85 |
| 90473 |
|
63 |
63 |
$123.32 |
| 94640 |
|
45 |
44 |
$121.20 |
| J0696 |
Ceftriaxone sodium injection |
41 |
39 |
$85.62 |
| 73564 |
|
13 |
12 |
$82.02 |
| J3420 |
Vitamin b12 injection |
34 |
27 |
$65.91 |
| G2023 |
Specimen collect covid-19 |
27 |
27 |
$46.92 |
| G0008 |
Admin influenza virus vac |
148 |
146 |
$38.50 |
| 96160 |
|
157 |
157 |
$17.80 |
| 86308 |
|
13 |
13 |
$17.16 |
| 99442 |
|
26 |
25 |
$15.45 |
| 90723 |
|
770 |
768 |
$0.00 |
| 90680 |
|
524 |
523 |
$0.00 |
| 99024 |
|
900 |
656 |
$0.00 |
| 91301 |
|
507 |
498 |
$0.00 |
| 91306 |
|
91 |
91 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
581 |
457 |
$0.00 |
| Q9992 |
Buprenorphine xr over 100 mg |
398 |
381 |
$0.00 |
| 90696 |
|
57 |
57 |
$0.00 |
| Q9991 |
Buprenorph xr 100 mg or less |
123 |
115 |
$0.00 |
| 91305 |
|
14 |
14 |
$0.00 |
| 91307 |
|
68 |
65 |
$0.00 |
| 90710 |
|
69 |
69 |
$0.00 |
| 90648 |
|
1,003 |
1,001 |
$0.00 |
| 90633 |
|
446 |
446 |
$0.00 |
| 91312 |
|
71 |
71 |
$0.00 |
| 91300 |
|
106 |
100 |
$0.00 |
| 82075 |
|
29 |
27 |
$0.00 |
| 90662 |
|
26 |
26 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |